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1275113920
KENNETH NGUYEN
MORENO VALLEY, CA
NPI
1275113920
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
KENNETH NGUYEN
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 585-350-8039
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Mailing Address
KENNETH NGUYEN
150 BRONZE LEAF TRL
ROCHESTER, NY 14612-6202
Phone number: 585-350-8039
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